Scheduling & PreAuthorization Coordinator
Full Time
Towson, MD 21204
Posted
Job description
What You Will Do:
What You Need to Be Successful:
We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
- Verifies insurance eligibility, benefits, pre-certifications, prior authorizations and referrals requirements for scheduled outpatient services via telephone and/or insurance websites.
- Obtains any required pre-certifications, prior authorizations and referrals from insurance companies, and primary care physicians.
- Documenting all appointment details and patient demographics, insurance, etc., in the department’s registration and electronic medical record keeping systems accurately including linking all referrals and authorizations to appointments accurately.
- Notifying patients via phone or mail of any financial responsibilities prior to appointments including any non-covered services, deductibles, copays, and coinsurance amounts.
- Answer telephone within three rings and in a professional manner.
- Schedule all types of patient appointments.
- Register Patient for Patient Portal.
- Mail information packet to new patients or guide them to the website to print and complete the materials prior to their appointment.
- Instruct patient (or designated representative) to sign appropriate state mandated forms.
- Answer financial questions or refer financial questions to the business office.
- Collect co-pays and scan insurance cards.
- Make certain patient has appropriate referral.
- Perform sleep compliance downloads during the check-in process.
- Via cross training, learn how to process insurance authorizations for sleep studies and CPAP therapy services.
- Via cross training, know the functionality of credit card machine, postage machine, copier, fax machines.
- Complete tasks as assigned in EHR (i.e.-schedule patient follow-up appointment, testing, radiology, blood work, etc).
- Exchange pertinent information in a timely and professional manner with team members, physicians, etc.
- Carry out routine duties and responsibilities with supervision.
- Make decisions and establish work priorities on procedure-oriented operations.
- Does not direct activities of other staff members.
- Perform other duties as assigned.
What You Need to Be Successful:
- High School Diploma or GED.
- One-year medical related work experience.
- Knowledge of medical insurance coverage.
- Basic Computer Skills.
- Medical terminology preferred.
We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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